Cargando…
Dietary Ingredients as an Alternative Approach for Mitigating Chronic Musculoskeletal Pain: Evidence-Based Recommendations for Practice and Research in the Military
OBJECTIVE: Approximately 55–76% of Service members use dietary supplements for various reasons, including pain and related outcomes. This work evaluates current research on dietary ingredients for chronic musculoskeletal pain to inform decisions for practice and self-care, specifically for Special O...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6544555/ https://www.ncbi.nlm.nih.gov/pubmed/30986309 http://dx.doi.org/10.1093/pm/pnz040 |
_version_ | 1783423267947675648 |
---|---|
author | Crawford, Cindy Boyd, Courtney Paat, Charmagne F Meissner, Karin Lentino, Cindy Teo, Lynn Berry, Kevin Deuster, Patricia |
author_facet | Crawford, Cindy Boyd, Courtney Paat, Charmagne F Meissner, Karin Lentino, Cindy Teo, Lynn Berry, Kevin Deuster, Patricia |
author_sort | Crawford, Cindy |
collection | PubMed |
description | OBJECTIVE: Approximately 55–76% of Service members use dietary supplements for various reasons, including pain and related outcomes. This work evaluates current research on dietary ingredients for chronic musculoskeletal pain to inform decisions for practice and self-care, specifically for Special Operations Forces personnel. METHODS: A steering committee convened to develop research questions and factors required for decision-making. Key databases were searched through August 2016. Eligible systematic reviews and randomized controlled trials were assessed for methodological quality. Meta-analysis was applied where feasible. GRADE was used to determine confidence in the effect estimates. The committee made evidence-informed judgments and recommendations for practice and self-care use. RESULTS: Nineteen eligible dietary ingredients were assessed for quality, efficacy, and safety. Avocado soybean unsaponifiables, capsaicin, curcuma, ginger (as a food source), glucosamine, melatonin, polyunsaturated fatty acids, and vitamin D were conditionally recommended as their benefits outweighed risks, but there was still some uncertainty about the trade-offs. No recommendations were made for boswellia, ginger (as a dietary supplement), rose hip, or s-adenosyl-L-methionine. Recommendations were made against the use of collagen, creatine, devil’s claw, l-carnitine, methylsulfonylmethane, pycnogenol, willow bark extract, and vitamin E. Research priorities were developed to address gaps precluding stronger recommendations. CONCLUSIONS: Currently the scientific evidence is insufficiently robust to establish definitive clinical practice guidelines, but processes could be established to track the impact of these ingredients. Until then, providers have the evidence needed to make informed decisions about the safe use of these dietary ingredients, and future research can address existing gaps. |
format | Online Article Text |
id | pubmed-6544555 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-65445552019-06-12 Dietary Ingredients as an Alternative Approach for Mitigating Chronic Musculoskeletal Pain: Evidence-Based Recommendations for Practice and Research in the Military Crawford, Cindy Boyd, Courtney Paat, Charmagne F Meissner, Karin Lentino, Cindy Teo, Lynn Berry, Kevin Deuster, Patricia Pain Med INTEGRATIVE MEDICINE SECTION OBJECTIVE: Approximately 55–76% of Service members use dietary supplements for various reasons, including pain and related outcomes. This work evaluates current research on dietary ingredients for chronic musculoskeletal pain to inform decisions for practice and self-care, specifically for Special Operations Forces personnel. METHODS: A steering committee convened to develop research questions and factors required for decision-making. Key databases were searched through August 2016. Eligible systematic reviews and randomized controlled trials were assessed for methodological quality. Meta-analysis was applied where feasible. GRADE was used to determine confidence in the effect estimates. The committee made evidence-informed judgments and recommendations for practice and self-care use. RESULTS: Nineteen eligible dietary ingredients were assessed for quality, efficacy, and safety. Avocado soybean unsaponifiables, capsaicin, curcuma, ginger (as a food source), glucosamine, melatonin, polyunsaturated fatty acids, and vitamin D were conditionally recommended as their benefits outweighed risks, but there was still some uncertainty about the trade-offs. No recommendations were made for boswellia, ginger (as a dietary supplement), rose hip, or s-adenosyl-L-methionine. Recommendations were made against the use of collagen, creatine, devil’s claw, l-carnitine, methylsulfonylmethane, pycnogenol, willow bark extract, and vitamin E. Research priorities were developed to address gaps precluding stronger recommendations. CONCLUSIONS: Currently the scientific evidence is insufficiently robust to establish definitive clinical practice guidelines, but processes could be established to track the impact of these ingredients. Until then, providers have the evidence needed to make informed decisions about the safe use of these dietary ingredients, and future research can address existing gaps. Oxford University Press 2019-06 2019-04-15 /pmc/articles/PMC6544555/ /pubmed/30986309 http://dx.doi.org/10.1093/pm/pnz040 Text en © 2019 American Academy of Pain Medicine. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License(http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contactjournals.permissions@oup.com |
spellingShingle | INTEGRATIVE MEDICINE SECTION Crawford, Cindy Boyd, Courtney Paat, Charmagne F Meissner, Karin Lentino, Cindy Teo, Lynn Berry, Kevin Deuster, Patricia Dietary Ingredients as an Alternative Approach for Mitigating Chronic Musculoskeletal Pain: Evidence-Based Recommendations for Practice and Research in the Military |
title | Dietary Ingredients as an Alternative Approach for Mitigating Chronic Musculoskeletal Pain: Evidence-Based Recommendations for Practice and Research in the Military |
title_full | Dietary Ingredients as an Alternative Approach for Mitigating Chronic Musculoskeletal Pain: Evidence-Based Recommendations for Practice and Research in the Military |
title_fullStr | Dietary Ingredients as an Alternative Approach for Mitigating Chronic Musculoskeletal Pain: Evidence-Based Recommendations for Practice and Research in the Military |
title_full_unstemmed | Dietary Ingredients as an Alternative Approach for Mitigating Chronic Musculoskeletal Pain: Evidence-Based Recommendations for Practice and Research in the Military |
title_short | Dietary Ingredients as an Alternative Approach for Mitigating Chronic Musculoskeletal Pain: Evidence-Based Recommendations for Practice and Research in the Military |
title_sort | dietary ingredients as an alternative approach for mitigating chronic musculoskeletal pain: evidence-based recommendations for practice and research in the military |
topic | INTEGRATIVE MEDICINE SECTION |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6544555/ https://www.ncbi.nlm.nih.gov/pubmed/30986309 http://dx.doi.org/10.1093/pm/pnz040 |
work_keys_str_mv | AT crawfordcindy dietaryingredientsasanalternativeapproachformitigatingchronicmusculoskeletalpainevidencebasedrecommendationsforpracticeandresearchinthemilitary AT boydcourtney dietaryingredientsasanalternativeapproachformitigatingchronicmusculoskeletalpainevidencebasedrecommendationsforpracticeandresearchinthemilitary AT paatcharmagnef dietaryingredientsasanalternativeapproachformitigatingchronicmusculoskeletalpainevidencebasedrecommendationsforpracticeandresearchinthemilitary AT meissnerkarin dietaryingredientsasanalternativeapproachformitigatingchronicmusculoskeletalpainevidencebasedrecommendationsforpracticeandresearchinthemilitary AT lentinocindy dietaryingredientsasanalternativeapproachformitigatingchronicmusculoskeletalpainevidencebasedrecommendationsforpracticeandresearchinthemilitary AT teolynn dietaryingredientsasanalternativeapproachformitigatingchronicmusculoskeletalpainevidencebasedrecommendationsforpracticeandresearchinthemilitary AT berrykevin dietaryingredientsasanalternativeapproachformitigatingchronicmusculoskeletalpainevidencebasedrecommendationsforpracticeandresearchinthemilitary AT deusterpatricia dietaryingredientsasanalternativeapproachformitigatingchronicmusculoskeletalpainevidencebasedrecommendationsforpracticeandresearchinthemilitary |